Artist Application Form

Artist Application Form
Your Details
Name (of lead artist, if applying as a collective or group)*

First NameLast Name
Name of collective or group (if applicable)
Contact Email*
example@example.com
Phone Number*
Contact Phone Number*

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province / County

Postal / Zip Code
Country*
Please can you give details of your Learning Disability and/or Autism*
Date of Birth*

DayMonthYear
Date
If You're Under 18, Please Provide:
Parent, Carer or Guardian Email
example@example.com
Parent, Carer or Guardian Number
Parent, Carer or Guardian Number

Country CodeArea CodePhone Number
Please Confirm:
Your Artwork
Artwork Title*
Artwork Discipline*
If Other, Please Specify
Size of Artwork*
Is the Artwork for Sale?*
Please give us a description of your work*
Link for Video Submissions
Please Submit your Artwork here (Video not included)

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Additional Comments - If you have any additional comments regarding your work which you feel may help your application then please include them here.
How did you hear about us?
Please Confirm:*
Should be Empty:

Your Details